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2002-041 i TOWN OF 'OUEENSBURY 742 Bay Road,QueensbmT,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CEPTIFIr I TE OF OCCUPANry Lt. A %.j Permit Number: P20020041 Date Issued: Monday,April 29,2002 This is to certify that work requested to be done as shown by Permit Number P20020041 has been completed. Tax Map Number: 523400-303-005-0001-024-000-0000 Location: 410 QUAKER Rd Owner: V.S.H.REALTY INC. Applicant: CUMBERLAND FARMS This structure may be occupied,as a: By Order of Town Board Commercial Addition TOWN OF QUEENSBURY Commercial Alteration Removal Of Underground Storage Tanks Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road;Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020041 Application Number. A20020041 Tax Map No: 523400-303-005-0001-024-000-0000 Permission is hereby granted to: CUMBERLAND FARMS For property located at: 410 QUAKER Rd in the Town of Qieensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: V.S.H. REALTY INC. Commercial Addition 290,000.00 777 DEDHAM St Commercial Alteration CANTON, MA. 02021 Removal Of Underground Storag Total Value 290,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency BOMBARD,'ANDREW 477-2342 CELL 573-2341 81 NEW Rd EAST GREENBUSH,NY 12061-0000 Plans &Specifications 2002-041 CUMBERLAND FARMS 1392 SQ FT ADDITION AND 1560 SQ FT ALTERATION AS PER PLOT PLAN SPECIFICATIONS: AV 92-2001 Approved ZBA on 11/28/01 $382.08! PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,February 06,2003 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer Dated at th of Queensb Wednesda jebruary, 06,2002 SIGNED BY for the Town of Queensbury. PDirector oh6ding 8r-Code Enforcement ` Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road,Queensbury,NY - - (5'18)761-8256- permit. . pp g Fee Paid r2Jc�Z { A must be obtained_before beginning construction. Permit File N No inspection will be made until applicant has received a valid building permit. All applicants' spaces on this Rec. Fee Paid $ application must be completed and must appear on the Reviewed By application form. .Applicant: ,t.dr erci �)ar rus�JfH� Owner: �� rsx ��i�iTud �•.br `.Address: 6-/ Olt Address: 2 7 7 �;. l ,y,�•sf sFs f tyye_-w L us •�-,/� /tvd/ `rt�c K .014ym a atioa 1 Phone' {��) y��- vz Phone#(moo) fir=- 7e;k Property Location: Lot Number: / House Number Vie' / Qc.rl/tee /V,/ Subdivision Name: Tax Map Numben..3a3 -egr--v a� ❑ New Building: residence /cornmercial Estimated Market Value'of.Construction:$ r;2 9C3.4!57t3 O — W Addition: residence/ commercial If an Addition,what will use'of new addition be? Alteration:-- _ residence/ commercial !E3 No change to exterior size: residence 1 com'1 �� v �"��ZEf ' ❑ Other work(describe ) Check Occupancylnformation 1"Floor 2`1 Floor •Other floor Total Below: sq.ft. sq.ft. sq.ft.. Square Feet ❑ Single family dwelling ❑ Two family dwelling ❑ Townhouse _ ❑ Multifamily dwelling -#of units ❑- Office. . ❑ Mercantile ❑' Manufacturing ❑, 1 car detached garage �y ❑ 2 car detached garage Cl 3 car detached garage ❑' I car attached garage ❑ 2 car attached garage ❑ 3 car attached garage o Storage building- commercial ❑ Storage building- 4 residential ❑, Other What is the proposed,height of the structure��_feet - L inches Will any second-hand or ungraded lumber be used? If so,for what? Type'of Heating System: electric/ oil /tga-7s3V wood. / orced hot baseboard/other: Number of Fireplaces to be installed. Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builderl- ti,. Plumber ra t.t << Mason Electrician S Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions.of the Building Code,the Zoning Ordinance and all other Iaws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or D' o of Building Codes,an As Built Survev by a licensed surveyor;drawn to scale,showing actual location of a21 ne co lion. Signatur owner,owner's agent,architect,contractor Building Permit Application Town of Queensbury_Dept of Community Development,742 Bay Road,Queensbury,NY: (51,8)761-8256 A permit must be obtained before beginning construction. Permit File No! No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this Rec. Fee Paid $ application must be completed and must appear on the Reviewed By application form. Applicant: ILZ:L Owner: Address: -/ Address: 227.L�is��is=a�r r� :�/tJ'f G�/�E'w�,��J"jr /�1/ /a�yd/ rid�r�9= c•.�o=z/ Phone Phone#(F) off- ?ea,2 Property Location-.- Lot Number: I HousRtE13e EINIF— Subdivision Name: F'af l�Ia&tk mber:. . }-- F�3� RY ❑ New Building: residence /commercial T e�} et1e of Construction:$ ❑ Addition: residence/ commercial }- Ict"" _.�v _-- �-"'Alteration residence/ commercial �Xf an Addition,what will use of new addition be?' ❑ No change to exterior size: residence!com'1 ❑ Other work(describe ) Check OccupancyInformation 15`Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet ❑ Single family dwelling ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office . ❑ Mercantile Manufacturine-__ --=-0 1 car detached garage -- - �y ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage ❑ 2 car attached garage ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure Z 7 feet inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil / gas t wood. /forced hot air/ baseboard/other: Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder mot.. ef Plumber Mason Electrician Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and cornplete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the.owner. Further,it is understood that I/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Diregtop of Buildipg and Codes,an As Built Survey by a licensed surveyor,drawn to scale,showing actual location of all newdo lion. Signature- owner, er's agen architect,contractor - FIRE MARSHAL -r4Z)'X/V" OF CIUEEMSE3Uf:P,"Y` (:--fUF-=E-=P4SE3LJF;Z-V-, M-V- 124B04 4cs 18) 70 1 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVPD PERMIT W N M VI-� AJ�0 ,77 A E i' I LOCATION 261 t IA Ow-K-? � . SCHEDULE INSPECTION ON ---7 C) A (f�) ANYTIME ! APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY 1-1<31-ITINC3 FIRE E-XTINC3U[SHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOC)D INS-rAl-LATICIN INTERIC?R FINISHES STO RAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATINC3 NIT REQUIRED SIC-3NAC3F- 45^,W-"9- ,t-- 'LoaA L- A LP)fZ-VvV �5'fq.-J,5,SPRINKLERS W4000 STIDVE FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS: IN" OK TO THIS DATE zVoA 5 cnit < INSPEC-. a FAQ �W-�JoA Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE I Received: Permit# SCHEDULE ON: ---) PM ANYTIME Name: In r\ AM Location: 16- APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL o4d evOt FJI - BATTERY j it EMERGENCY LIGHTING LDCA L A LA VJ0 FIRE EXTINGUISHERS x I , It FIRE ALARM SYSTEM/ Ix 1( FIRE SPRINKLER SYSTEM j - � ( q p � i{�- U`T I FIRE SUPPRESSION SYSTEM I x HOOD INSTALLATION I,- INTERIOR FINISHES � --1 0 STORAGE CWTIAILA�,l bjwLka�,, A flow COMPRESSED GAS CLEARANCE TO SPRINMERSZ CLEARANCE TO HEATIN UNITS \K CLEARANCE TO AL REQUIRED SIGNAGE x EMERGENCY PLAN MAXIMUM OCCUPANCY SIG CHIMNEY MASONRY ROUGH IN FIN L CHIMNEY FACTORY BUILT ROUGH IN FIN L WOOD 11 STOVE ROUG IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS DATE 0 FOR CO NOT OK FINAL FIREPLACE _7T OK CT y FACTORY BUILT ROUGH IN - 4E t FINAL -4 INSPECTED BY COMDEV/CHRISJ/WORD/LETTERS20OI/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY 4 FINAL - COMMERCIAL INSPECTION REPORT Request received: Office Use Town of Queensbury (518) 761-8256 ARRIVE'� am/ rn .DEPART qi.�a pm 742 Bay Road Ready at time: Queensbury, IVY 12804 Inspector's.Initials Meet: NAME PERMIT#S�y �J At time: LOCATION ( TYPE OF STRUCT - INSPECT ON(date). -Zo�� Notes: N/Al YES NO Chimney/"B"Vent/Direct Vent location x Plumbing Vent Roof Complete COMMENTS Exterior finish grade complete ! Interior/exterior guardrails 42 in.platform/decks 200 Interior/exterior balusters 4 in.spacing platform/decks Stair handrail 34 in.-38 in. Step risers 7'/4 in. Main door 44 in. All others 36 in. Lever handles Exits at grade or platform Canopy to cover req.exit doors Gas valve shut-off exposed&regulator(18 in.)above grade Floor bathroom watertight Other floors okay Hot water relief valve Boiler/furnace enclosure <250,000 BTU N/R 250,000 BTU to 1,000,000 BTU's(1 hour) >1,000,000 BTU's(2 hour} Gas furnace shut off within 30 ft. or within line of site Oil furnace shut off at entrance to furnace area Stockroom enclosure(1 hour),'/4 hour door Storage/receiving/shipping room(2 hour), 1 '/x doors 1 '/2 hour doors and closers 3/4 hour corridor doors and closers Firewalls/fire separation,2 hour,3-hour complete Fire dampers,2-hour fire wall/separation or greater �. Fire door/shutters 1 '/a hour,3 hour Ceiling fire stopping 3,000/5,000 sq. ft. Fan shutdown, smoke vents or fan Exit door/panic bars assembly hardware Elevators Elevator signage Handicapped bathroom grab bars/sinks/toilets .Handicapped bath/parking lot signage Handicapped service counters 34 in.,checkout 36 in. Handicappe p/handrails continuous/12 in.beyond Active lidening system and signage assembly space F lectrical 2Plan/Variance required Final Survey,new structures As-built septic system layout required Okay to issue TEMPORARY C/O—Certificate of Occupancy yes no . Okay to issue PERMANENT C/O—Certificate of Occupancy yes no Okay to issue C/C—Certificate of Compliance yes no 4 FINAL -- COMMERCIAL INSPECTION REPORT Request received: Office Use Town of Queensbury (518) 761-8256 ARRIVE l` am/pm: DEPART am/pm 742 Bay Road Ready at time: Queensbury, NP 12804 Inspector's Initials Meet: NAME `` PERMIT# At time: LOCATION • _ j O TYPE OF STRUCTURE INSPECT ON(date): (g Notes: N/A YES O • Chimney/"B"Vent/Direct Vent location { (Plumbing Vent ( Roof Complete COMMENTS Exterior finish grade c lete Interior/exterior guar dr i 42 in.platform/decks Interior/exterior baluste s in,spacing platform/decks Stair handrail 34 in.-38 in Step risers 7 3/4 tn. Main door 44 in. All others 36 in. J Lever handles Exits at grade or platform Canopy to cover req. exit d jors Gas valve shut-off expose ,regulator(18 in.)above grade Floor bathroom watertight' Other floors okay Hot water relief valve Boiler/furnace enclosure <250,000 BTU N/R 250,000 BTU to 1,000'0 0 BTU's(I hour) >1,000,000 BTU's(2 ho Gas furnace shut off"within 3 ft.or within line of site +� Oil furnace shut off at entranc to furnace area Stockroom enclosure(1 hour),3l4 hour door Storage/receiving/shipping roo (2 hour), 1 '/2 doors - 1 '/2 hour doors and closers 3/4 hour corridor doors and closers Firewalls/fire separation,2 hour,3-hour complete Fire dampers,2-hour fire wall/separation or greater Fire door/shutters 1 '/2 hour,3 hour Ceiling fire stopping 3,000/5,000 sq. ft. Fan shutdown,smoke vents or fan Exit door/panic bars assembly hardware Elevators Elevator signage r� j Handicapped bathroom grab bars/sinks/toilets .���1: /,�/Jyir�rl ,Handicapped bath/parking lot signage 1t �l /!!a e e. sysA Handicapped service counters 34 in.,checkout 36 in. f J Handicapped ramp/handrails continuous/12 in.beyond Active listening system and signage assembly space Final Electrical Site Plan/Variance required r'^ Final Survey,new structures l/ �. As-built septic system layout required ar ^c*ra i/e4-`re c. If Okay to issue TEMPORARY C/O—Certificate of Occupancy yes no / Okay to issue PERMANENT CIO—Certificate of Occupancy yes no Okay to issue C/C—Certificate of Compliance yes no HAROLD BEROER CONSULTING ENGINEER P.O.BOX 513 CLIFTON PARK.NEW YORK 12065 (518)373-9860 April 25, 2002 Town of QueensburyQ - G� ' Building Department 742 Bay Road N Queensbury, NY 12804 ED APR 2 9 2002 RE: Cumberland Farms, Inc. Quaker Road TOWN,OF QUEENISSURY _D I I�,'r--7 A,,,,,0 -0-D E Gentlemen: This i letter will verify that the repair work specified in the drawing ng dated 3/14/02 sealed by me has been completed in compliance with that drwaing and in a satisfactory, workmanlike manner. Respectful D Ha o P. Be ger, P. 0.' cc: AndreFwBombar Cumberland Farms, Inc. 4S -4� FIRE f�'iARSHA,L -rC)V%/" C:)F= C;ZUIE-E="SE3UF:;,")r "Y 12804 (518) 7SI-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEI\IEO PERMIT & NAME LOCATION -- aAeU-0JTC^ 19 SCHEDULE INSPECTION ON Am(TM>NYTIME APPR(DVED N/A YES NC> EXITS AISLE WIDTHS EXIT SIGNS EMEROENCY 1-101-ITING; FIRE EXTfNC31JISHEF,"S FIRE ALARM SYSTEM �tz FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM IF HCX30 INSTjfkLLATIG�---------1 INTERfC:)R FINISHES STC)RAC3E: CLEARANCETC) SPRINKL CLEARANCE TOO H A-IrINC) S ITS REQUIRED St NAC31= CHIMNEY WOaD STC?VE FIREPLACE - MASC>NFlY v;; FIREPLACE - FA<,`FC3RY BUILT REMARKS: C>K TC) THIS DA-ra Ut INSPECT 11401A- A en))-tA--Q-� TZ-'o AA49 V etl "-V- 12804 CS IS) 7E51-82OS FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT 0 NAME LOCATION SCHEDULE INSPECTION ON -ZAO(::::> AM(:!!mi>NYTIME APPF;Z40VED N/A YES N40 EXITS AISLE WIDTHS EXi-r SIGNS EMERCDENCY LK3HTfNC3 FIRE EXTfNG;UlSHER, FIRE ALARM SYSTEM ohcc otdi I FIRE SPRINKLER SYSTEM FIRE SUPPRESSION 6YS-rrXE Hc>ao INS-T-A.LLA-17140tCI INTERI(DR, FINISHES ST<aRAOE: CLEARANCE TC) SPRIN LERS CLEARANCE TO HEATIN UNITS FZI-=(::IUIRED Sl(:3NAGE CHIMNEY WOOD STCkVE FIREPLACE - MASC:)Nf:;?-Y FIREPLACE - FACTORY BUILT REMARKS. Q OK TC3 THIS DATE V A f 0 � - _ r-- . <9 INSPECT&,�,"' Office Use GENERAL INSPECTION REPO Inspector: ToWn of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Notes: a Queensbury, NY 12804 ARRIVE a p7 i�iwpin (518) 761-8256 Inspector's Initi Zi!A P NAME: CQtAP5eRL—et,)Q EPRIB6 PERMIT# LOCATION: D_&�f)X4E=P, INSPECT ON(date): Z—C>7_, TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo isl e for providing protection fr?m free for 48 hours following he pIacem t of the concrete. Materials for this purpose on ite Foundation/Wallpour Reinforcement in Place f Foundation/Dampp offing Backfill Approval r1p,umbing Under Slab 7umbing Vent/Vents in Place_ b-"A Rough Plumb Jeating Rough-In F OL— r,sulation pvcvp-rk At Foundation Walls Interior R- Foundation Walls Exterior R- F>ors R- VWalls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beair�_ Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Fi.restopping_ L:\Suel-Iemingway\Btiilding.Codes.Inspection.FORMS\GENERAT,INSPECTION REPORT.doc GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive = 5Q Dei Inspector's s NAME: C �j PERMIT# — LOCATION: P—O ptsp DATE : —I- 1-6 7 TYPE OF STRUCTURE: RECHECK N/A YES NO CONMIENTS Footings/Piers �� I Monolithic Pour Form Reinforcement in Place The contractor is re spo sible fo providing protection fro freezin for 48 hours following th placeme t of the concrete. Materials for this purpose on ite Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P ce Rough Plumbing vieating Rough-In nsulation c a. ALA-6 otA Foundation Walls Interior R- t,aJ Foundation Walls Exterior R- Floors R Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at tim4lix� Dept. of Community Development Request received. Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE\:L4 P T dNotes: (518) 761-8256 Inspector's Initi NAME: IMN- PERMIT# LO cigg Q INSPECT ON(date): 40 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is res�onsi e for . 'o _z. providing protection from ezmg for 48 hours following the pl cemen of the concrete. site Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofm Backfill Approval Plumbing Under Slab A Plumbing Vent/Vents in Place\,—/ Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pr9per Vent,Attic Vent Bracing/Bridging_ Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAT,INSPECTION REPORT.doc GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development_ Date inspection request received; Building&Code Enforcement, 742 Bay Road Queensbury,NY 12804 Arriv SD =1 ,,-Depart'-"-li $d m spector's 1ni al NAME: PERMIT 4 Z-0 LOCATION: j-�,j A DATE : - —%C�-- TYPE OF STRUCTURE: ClC)d"tM (AOV RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form PLE A �( �� tA� Reinforcement in Place The contractor is responsible for � � `tlU€�rtJa tJ{� C'fw,,, providing protection from freezing for 48 hours following tr1acem, nt of the concrete_ Materials for this purposeit Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin-" �\� Backfill ApprovalJ15�-��t�tJ \)V-- C-ZpLzji� Plumbing Under Slab _ rA � p Plumbing VentNents in Plac ll Rough Plumbing 1'� Heating Rough-In Insulation A P-�-t Foundation Wa s Interior R- _ Foundation Walls Exterior R- v—E=P6 Floors R Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping +-7H F=IF;Zf-- r%AAJ:;Z4S"^I -rC>VV" C>f= C;jlLJF=F=N4SE3LJF;Z"*e ClUeaM4SE3UF;Z-Y-, "-v- IZ804 (518> 7B I-8Z05 FIRE MARSHAL INSPECTION REPC>[:?,T REQUEST Ml,"EIVED �4115-7 X9lx NAME - LOCATION ) SCHEDULE INSPECTION ON 6r PM ANYTIME v! APPROVED N/A IYES I NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY L1(-'31-1TIN<3 FIRE EXTING;UIS"Ef-R-S FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM 6 i A"! A 5, HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE-TO HEATING; UNIT REQUiF;ZED SIGNAC3E CHIMNEY WOOD- STOVE FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS_ OK TO THIS DATE u, r3 L f FIB - a/tA YC C INSPECTOR O Use .G- ENER L INSPECTION REPORT Inspect Town of Queensbury Ready at ' e: ` Dept. of Community Development Request received: c � Meet: Building& Code Enforcement At time: 742 Bay Road : t Queensbury, NY 12804 ARRIVE am/pm: DEPAR ' V am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# LOCATION:'Tl v L,! INSPECT ON(date): TYPE OF STRUCTURE: RECHECK NIA11NO, COMMENTS Footing iers (;7 c our Form Reinforcement in Place �--' J va�" The contractor is responsible for L I providing protection from fr ezing for 48 hours"following the pI cement � � � C`GrL of the concrete. Materials for this purpose on si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofmg Backfill Approval Plumbing Under Slab Plumbing VentJVents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors' R Walls R- Ceiling R Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers BracingBridging` Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:%ueHemingwaytBuilding.Codes.Ingpection.FORMSIGENERAL INSPECTION REPORT.doc g �g Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, 1T 12804 ARRIVE ,K' m r�; PA �.�In Notes: (518) 761-8256 Inspector's Initi NAME: PERMIT# �� `? LOCATION: ? --� INSPECT ON(date): _' - '7 F 00— TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/PiersMonolithic Po _ �; � Monolithic Pour Foam Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placemen of the concrete. cv,— Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofmg Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers _ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:1SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe lAl -- F=IF:ZF-= M^F:;;,4S"^L- Addlr!!!-ftkk -r<:>Vvm C:)F= <;luf=F="4sIBuF;Z",,r qW4ClUr-=r-=",-SE3UF:;Vir, NY IZ804�— (518) 701-8205 FIRE MARSHAL INSPECTION REPORT 'ECEIVED PERM REQUEST FP, IT *I- NAME Y-ry- �� LOCATION c�<=-") SCHEDULE INSPECTION ON - — AM C-�_ M ANYTIME APPROVED N/A IYES NO, EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER FIRE SUPPRESSION SYSTE� HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRIN E lR*S NJ UNIT CL RANCETO, HEATIN S REQUIRED 81(3NA(3E CHIMNEY WOOD- STOVE FIREPLACE - MASONRY FIREPLACE - F.AkC-rC)P,Y BUILT REMARKS: OK TO THIS DATE -Yv4oA- -L I f tc.+ (00 V�5 -. INSPSAAR.PUB -1 S ECTOR �T A REPORT Use GENERAL INSPECTION T SPECTIORT REPORT Inspector: 1-`own of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AY 12804 ARRIVE am/pm: DEPART�`.�mlu Notes: (518) 761-8256 Inspector's.Initials NAME: \ _n)��1, 1 NA&> E*Q"�> PERMIT# LOCATION: INSPECT ON(date): ���'` TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respons' le fLl providing protection from freezi g for 48 hours fallowing the place ent of the concrete. Materials for this purpose on it Foundation/Wallpour Reinforcemen in Place Foundation/D oofmg Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing eeating Rough-In ulation Foundation Walls Interior - Foundation Wall Exterior - Floors j�j�F - R- (i Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:1SueHemingwaylBuilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Notes w Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm vlmpr*� (518) 761-8256 Inspector's Initials NAME: C PERMIT# — LOCATION: Ok A o INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Motings/Piers onolithic Pour Form Reinforcement in Place The contractor is resp nsib for o f z m r�j 11 PI providing protection g om fr ezin for 48 hours followin the pl cement of the concrete. it Materials for this-purpos on sit Foundation/Wallpour Reinforcement in Place Fo dation/Dampproo 1 v'j rckfiljZp. uVaL pL_ " u m- binja URW m 4 FSI l r a r-' tA3 urabing Vent/Vents in P ace YRo It Plumbing �' "'g ": g eating Rough-In ,I---- —"- jr_su 1,50117afte Vewhiju, F6ifffd-aTFo—n Wills-Inter idr R- Foundation Walls Exteri r R- Floors 7�/ Walls Ceiling R Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging, Joist Hangers Jack Posts/Main Beain Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppmiing g — L:\SueHemingway\Building.Codes.Inspection.FOIZNIS\GENERAL INSPECTION REPORT.doe HAROL:D'BERGER CONSULTING ENGINEER P.O.BOX 513 CLIFTON PARK.NEW YORK 12065 (5181 373-9860 t ADDENDUM #1 .,March 14, 2002 Cumberland Farms, Inc. Cr. Quaker Road •and Ridge Road Town of Queensbury, Warren County., New York The following items shall constitute Addendum Number 1 for this reconstruction project. I. DELETE UNDERSLAB INSULATION The shown underslab insulation on sheet R1 .2, dated 2/5/02 is hereby deleted. NOTE: The insulation shown behind the frost wall shall remain as shown. II. MODIFY EXISTING ROOF TRUSSES The existing roof. trusses shall be modified as shown on the accompanying sketch. NOTE: All rotted or otherwise damaged members shall be modified by attaching a new member, same orientation. New members shall extend a minimum of two feet beyond that point at which solid or good lumber exists. " ~ 'Prepared By:', Harold Berger, P.E. P.O. Box 513 Clifton Park, New York 12065 518.373.9860 phone and fax OF NR if V + C k Y f :ra L} f i t b115�it�-t u� s b 159 MM existing roof trusses- to regain , beam Ate. off OUT ,a. 'Kr, h►4 ass , I Sr. proposed x '4' x 3" fiberglass ceiling t�! .Suspended frog truss (typ.7f.. 1/2 is �, - � � xI'M uµMLpua F44S, Iwo d. ,cap, pow co 3Ilk. Office Use GENERAL INSPECTION REPORT . M OAY� Inspector: .Town of Queensbury Ready'at time: .Dept. of Community.Development Request received: Meet: Building chi Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE 3 �EAR '� yn otes; r` ' (518) 761-8256 I`49 Inspector's Initi s%'�� NAME: PERMIT 6100 -- - - - LOCATION: dA J INSPECT ON(date) TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsibAplaent providing protection from for 48 hours following the of the concrete. Materials for this purpos-Foundation/Wallpour-Reinforcement in Place Foundation/Dampproof ng fill Approval umbing Under Slab Plumbing VentlVents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R Foundation Walls Exterior R- Floors R Walls R Ceiling R- Duct work or piping in unheated spaces - R- Proper Vent,Attic Vent — Framing - - Jack Studs/Headers Bracing/Bridging- Joist Hangers _ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Buiiding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc F=IF.le r%AALF:Z--3"Ad- TOWN C>F= CaUeE=N�SE3UF:;Z-V' <=tLJr-=EEME�E3LjF:;;,t'V, r%j-y' -lZ804 (5 -8Z05 FIRE MARSHAL INSPECTIC>N REPORT REQUEST RECEIVED 3F t-z_ PERMIT 0 NAME tut4A -6�-, LC:)0A-TfC:)N jop SCHEDULE INSPECTIC)N ON X-114 0c) AM<M�)ANYTIME APPROVED 1 N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LI43HTIT G E- FIRE XTIN4GUISHER FIRE ALARM SYSTEM SYS_ T FIRE SPRINKLE SYST ON FIRE SUPPRESSLON SY EM +4E)EN� INS-Vfid-LAT N PA. - INTERIOR FINISHES STORAGE: CLEARANCE TO S RI NKLERS CLEARANCE TO 7tATIN(3 UNITS REQUIRED Sf NAGE CHIMNEY WOOD STOVE FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS: OK TO THIS DATE -F7 py 4 4C I&A INSPECTOFV -A-�;tmh�5 A51 157;. V"7P, Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: ,2-12,0102— Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 .4RR[vE2- a n" Q DEPART2.01D a Notes: Mt ; IV (518) 761-8256 Inspector's Initials NAME: Ul�t rl4G 57P if?-2igo, Foilm PERMIT# - 2-00 OW LOCATION: n INSPECT ON(date 2, +U 7-2-210ol TYPE OF STRUCTURE: RECHECK N/A S NO CO NTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plunibing__ ow-a'14�4 0. Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppin L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAT,INSPECTION REPORT.doe GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspe tion request receive Building& Code Enforcement 742 Bay Road Queensbury,N�' 12804 Arrive amtpm DInspector'sNAME: c PERMIT##LOCATION: DATE : TYPE OF STRUC ` RECHECK NIA YES NV MMENTS Footings/Piers � Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement / of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place F am oo ng l Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbing Heatin Rou -n / d l s f Pion op on Walls Interior R- _ undation Walls Exterior R- Floors R- Walls R- Ceiling R � Duct work or piping in unheated spaces R Proper Vent,Attic Vent Framing / Jack Studs/Headers BracingBridging_ Joist Hangers Jack Posts/Main Bear}' Air Infiltration Barrier 1 Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping ©f ke Use GENERAL INSPECTION REPORT Inspect .' Town of Queensbury Ready at time: Dept. of Community Development Request received:C411, 1/ Meet: Building& Code Enforcement At time: 742 Bay Road Queen's-bury, NY; 12804 ARRIVE am/pm: DEPAR�'n I • am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# LOCATION: l f ( INSPECT ON(date): bt*c, l 3 p TYPE OF STRUCTURE: RECHECK C�a N/A YE 4NO COMMENTS Fo6t"in s " Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placemet of the concrete. Materials for this purpose on site Foundation/Wallpour, Reinforcement in Place .Foundation/D amppro o fmg BackfiltApprovEd Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R Floors R Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing ' Jack Studs/Headers Bracing/Bridging Joist Mangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\,SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc FINAL — CONIMERCIAL WSPECTION REPORT �a�Y Request received: Offee use Town of Queensbury (518) 761-8256 �Ric'IVE_�L, a /pin: ART 7 m 742 Bay Road Ready at time: Queensbury, NY 12 4 .inspector's Initi Q Meet: NAME �'`����`f r'' PERMIT# Q Y At time: LOCATION TYPE OF STRUCTURE INSPECT ON(date): Notes: N/A YES NO Chimney!"B"Vent/Direct Vent location Plumbing Vent Roof Complete COMMENTS Exterior finish grade complete Interior/exterior guardrails 42 in.platform/decks Interior/exterior balusters 4 in.spacing platform/decks Stair handrail 34 in.-38 in. Step risers 7 3/4 in. Main door 44 in. All others 36 in. Lever handles Exits at grade or platform Canopy to cover req.exit doors Gas valve shut-off exposed&reg ator(1 in.)above grade Floor bathroom watertight Other floors okay Hot water relief valve Boiler/furnace enclosure <250,000 BTU N/R 250,000 BTU to 1,000,000 BTU's hour} >1,000,000 BTU's(2 hour} Gas furnace shut off within 30 ft. or witA line of site _ Oil furnace shut off at entrance to furnace 4rea Stockroom enclosure(1 hour),%hour doo Storage/receiving/shipping room(2 hour), 1 ''/i.doors 1 '/2 hour doors and closers %hour corridor doors and closers Firewails/fire separation,2 hour,3-hour com lete Fire dampers,2-hour fire wall/separation or eater Fire door/shutters 1 % hour,3 hour Ceiling fire stopping 3,000/5,000 sq. ft. Fan shutdown,smoke vents or fan Exit door/panic bars assembly hardware Elevators Elevator signage Handicapped bathroom grab bars/sinks/toilets Handicapped bath/parking lot signage Handicapped service counters 34 in.,checkout 36 in. Handicapped ramp/handrails continuous/12 in.beyond Active listening system and signage assembly space Final Electrical Site Plan/Variance required or Final Survey,new structures As-built septic system layout required Okay to issue TEMPORARY C/O—Certificate of Occupancy yes no Okay to issue PERMANENT C/O—Certificate of Occupancy yes no Okay to issue C/C—Certificate of Compliance yes no